LA County Board

29.\nIn-Home Supportive Services Health Plan Coverage Agreement\nRecommendation: Authorize the Director of Public Social Services to execute\nthe Homecare Workers Healthcare Services Financial Agreement (Agreement)\nwith L.A. Care Joint Powers Authority (L.A. Care JPA) effective upon execution\nthrough December 31, 2028, with an option to extend the contract term for up to\ntwo additional one-year and one six-month extension option, for a maximum total\ncontract term of five years and six months. Amend the agreement to add,\ndelete, and/or modify certain terms and conditions, update or incorporate new\nState/Federal law and regulations, County provisions and other\nregulatory/contractual requirements. Incorporate and/or revise non-substantive\nand administrative terms and conditions to make appropriate changes to the\nagreement language for clarity and efficiency, administrative, programmatic\nand operational. Exercise the extension options, effect termination, increase\nand otherwise adjust the monthly capitation, provided that the Maintenance of\nEffort is not impacted and the hourly health benefit rate remains below the\nmaximum limit for the County, subject to adjustments approved by the Board,\nand take any additional actions that are required by contract, law, regulation,\nrule, or guideline to enable the Director of Public Social Services to effectuate\nthe agreement via amendment. Take the following actions: (Departments of\nHealth Services and Public Social Services) APPROVE\nAuthorize the Director of Health Services to negotiate, prepare and\nexecute amendments to any and all agreements with Local Initiative\nHealth Authority of Los Angeles County (L.A. Care) or L.A. Care JPA,\ncollectively the “L.A. Care Entities”, by which either or both of the L.A.\nCare Entities administer the Personal Assistance Services\nCouncil-Services Employees International Union (SEIU) In-Home\nSupportive Service (IHSS) Health Plan, or the Department of Health\nServices (DHS) provides care to IHSS providers. Extend current\nagreements, including the Hospital Services Agreement and Participating\nProvider Agreement between DHS and the L.A. Care Entities, for three\nyears through December 31, 2028, with two one-year and six-month\nextension option, migrate the IHSS line of business into new agreements\ninvolving DHS and either, or both, of the L.A. Care Entities. Add, delete,\nand/or modify certain terms and conditions of the agreement(s), update\nor incorporate new State/Federal law and regulations, County provisions\nand other regulatory/contractual requirements. Amend the agreements,\nincorporate and/or revise non-substantive and administrative terms and\nconditions, make appropriate changes to agreement language for clarity\nTUESDAY, NOVEMBER 4, 2025\nand efficiency, administrative, programmatic and operational. Reflect\nnew, or adjust current rates, or financial opportunities, revise and update\nthe division of financial responsibilities to align with any changes to rates,\nand take any additional actions as required by contract, law, regulation,\nrule, or guideline to enable DHS to effectuate the relevant amendments.\n(25-5654)\nBoard Letter